Kim, Jinny S

Kim, Jinny S is an individual health care provider with primary practice located at 4167 Bowne St , Flushing NY 11355-2642. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kim, Jinny S can be contacted via phone (718) 463-0333.

Contact Information

Primary practice address
4167 Bowne St Flushing NY 11355-2642
Phone: (718) 463-0333
Fax: (718) 463-1423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 040881 New York

Profile Details

NPI number 1760466429
LBN Legal business name Kim, Jinny S
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760466429 NPPES
New York MEDICAID 01669997

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